Organization
RICHARD DETWILER, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DETWILER M.D. (OWNER)
(530) 622-1397
Entity
Organization
Contact information
Practice address
941 SPRING ST, STE 1, PLACERVILLE, CA 95667-4546
(775) 747-5050
(775) 747-5005
Mailing address
PO BOX 34120, RENO, NV 89533-4120
(775) 747-5050
(775) 747-5005
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G31263
CA
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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